Volume 8, Issue 2, December 2020, Page: 74-77
Antibioprophylaxis in Paediatric Surgery at University Hospital Center of Brazzaville (Republic of Congo)
Marie Elombila, Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo; Department of Anaesthesia and Intensive Care, University Hospital Center, Brazzaville, Republic of Congo
Gilbert Fabrice Otiobanda, Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo; Department of Anaesthesia and Intensive Care, University Hospital Center, Brazzaville, Republic of Congo
Peggy Dahlia Leyono-Mawandza, Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo; Department of Anaesthesia and Intensive Care, University Hospital Center, Brazzaville, Republic of Congo
Christ Mayick Mpoy Emy Monkessa, Department of Anaesthesia and Intensive Care, University Hospital Center, Brazzaville, Republic of Congo
Gilles Niengo Ontsouta, Department of Anaesthesia and Intensive Care, University Hospital Center, Brazzaville, Republic of Congo
Carine Mboutol Mandavo, Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo; Department of Paediatric Surgery, University Hospital Center, Brazzaville, Republic of Congo
Irene Ondima, Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo; Department of Paediatric Surgery, University Hospital Center, Brazzaville, Republic of Congo
Received: Oct. 16, 2020;       Accepted: Nov. 5, 2020;       Published: Nov. 11, 2020
DOI: 10.11648/j.ijacm.20200802.19      View  24      Downloads  13
Abstract
Aim: Evaluate the practice of antibioprophylaxis in paediatric surgery at University Hospital of Brazzaville. Materials and methods: The study was a retrospective, cross-sectional and descriptive, during 12-month (January to December 2013) conducted in the operating room of University Hospital of Brazzaville. All patients undergoing scheduled paediatric surgery were included in this study. The parameters analyzed were: ASA class, Alteimer class, duration of surgery, type of antibiotic administered, timing of administration and reinjection of antibiotic. Results: A total of 216 patients were analysed. The average age was 7.57±5.03 years. The ASA I was the most represented in 94.9% of cases. Anaesthesia was general in 89.9% of cases. Surgery was classified as Alteimer I in 68.1% of cases, Alteimer II and III in 26.9% and 5.1% of cases respectively. The indication for antibioprophylaxis was conformed in 54.1% of cases. The most commonly used antibiotics were cefuroxime in 42.3% of cases and ceftriaxone in 31.5% of cases. In 20.7% of cases the antibiotic was administered after the surgical incision. Antibiotic reinjections were not performed. The average duration of the surgery was 99.94±46.36 minutes. The overall compliance (indication, choice of molecule, injection-incision time and reinjections) was 47.1%. Conclusion: In almost half of the cases, antibioprophylaxis did not comply with the recommendations. Consensus between surgeons and anesthesiologists must be reached to develop national protocols for antibioprophylaxis in pediatric surgery.
Keywords
Surgery, Paediatric, Antibioprophylaxis, Brazzaville
To cite this article
Marie Elombila, Gilbert Fabrice Otiobanda, Peggy Dahlia Leyono-Mawandza, Christ Mayick Mpoy Emy Monkessa, Gilles Niengo Ontsouta, Carine Mboutol Mandavo, Irene Ondima, Antibioprophylaxis in Paediatric Surgery at University Hospital Center of Brazzaville (Republic of Congo), International Journal of Anesthesia and Clinical Medicine. Vol. 8, No. 2, 2020, pp. 74-77. doi: 10.11648/j.ijacm.20200802.19
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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